What every college freshmen ought to know about sexual assault Dear college freshman, I just saw you in clinic a few weeks ago; your last check up before college. We talked about a lot of stuff, updated shots, filled out forms, hugged good-bye; crammed in what we could in just a few minutes. It was a great to see you. Now that you are out of the office, away from the distractions of a buzzing ...

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“We lost our regular doctor with Obamacare, so now we have to see you.” I routinely ask my new patients how they heard about our pediatric office, and this is the answer I dread most. My pediatric practice is a very nice and modern private office, and in my opinion, full of excellent physicians. I entrust my own children’s care to my partners. But none of that matters when you’re the rebound doctor, the ...

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On the first day of school, a letter to my childs teacher I don’t know you and you don’t know me, but today you become one of the most important people in my life. You are the one. The one who I’ve entrusted to take care of my girl in my absence. The one who I’ve tasked with teaching her things that I cannot. The one who will make an indelible mark on her ...

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Top stories in health and medicine, August 27, 2014From MedPage Today:

  1. 'Sleep Drunkenness' Common, But Rarely Unexplained. So-called confusional arousals -- awakenings without coming fully aware -- were reported in the past year by some 15% of respondents in a population-based survey, with nearly all such episodes associated with mental disorders or drugs known to affect sleep.
  2. The Siren Call ...

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I’m all for free speech and I’m very hostile to censorship.  The response to ugly speech is not censorship, but is rebuttal speech.   Of course, there’s a lot of speech out there that should never be uttered.  Indecent and rude speech is constitutionally protected, but is usually a poor choice.    We have the right to make speech that is wrong. I relish my free speech in the office with patients.   I ...

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Earlier this year a child died following a surgical procedure in California for a condition called obstructive sleep apnea. The case generated a great deal of concern among parents about both this condition and the surgery often done to treat it. I wrote a post myself about it at the time. I still get questions about it because I care for quite a few children immediately after they have had ...

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When I hear debate over the association between SSRIs (selective serotonin re-uptake inhibitors, a class of antidepressant medication) and suicidal behavior in children and adolescents, I am immediately brought back to a night in the early 2000s.  As the covering pediatrician I was called to the emergency room to see a young man, a patient of a pediatrician in a neighboring town, who had attempted suicide by taking a nearly ...

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We live in a digital age. Technology has become an integral part of how we see, learn about, and interact with the world. From computers at the office, to televisions at home, to smartphones on the bus or in the grocery line, many of us spend over half of our waking lives in front of a screen. Naturally, some of us have begun to worry about the effects this may have ...

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I see it again and again in my practice: parents who seem to have forgotten that they are in charge. "You can say no," I find myself saying to family after family. Which is kind of an amazing thing to have to say, if you think about it. You'd think that parents would know that they can say no when their child asks for yet another toy, to watch more television, ...

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In a recent post, I wrote about the value of a yearly checkup with your child’s doctor -- it can be a whole lot more helpful than a quick sports physical at the local quickie-clinic. You can be sure to get the most out of your child’s checkups with these tips. First, and most important at all, go to the visit. You’d be surprised how often children are brought by ...

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